CN111446011B - A periodontal diagnosis and treatment information management system - Google Patents

A periodontal diagnosis and treatment information management system Download PDF

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CN111446011B
CN111446011B CN202010376169.2A CN202010376169A CN111446011B CN 111446011 B CN111446011 B CN 111446011B CN 202010376169 A CN202010376169 A CN 202010376169A CN 111446011 B CN111446011 B CN 111446011B
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王子硕
冯妍慧芝
徐伟喆
赵伟
刘子羿
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Tongji University
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
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    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

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Abstract

The invention provides a periodontal diagnosis and treatment information management system which comprises a patient terminal, a medical care terminal and a server. The medical care terminal is in communication connection with the server and is configured to interact with the patient terminal to acquire the identity of the patient and the past examination information, and upload the current examination information of the patient to the server; the inspection information includes: basic data, feature data, and a visualization model; and in the process of generating the visual model, calculating the visual model according to the basic data, the characteristic data and the standard tooth shape model. The visual model is generated, so that medical staff can intuitively observe the past examination results of the patient, and the medical staff can conveniently compare the change trend among the past examination results, thereby better knowing the disease progress of the patient.

Description

一种牙周诊疗信息管理系统A periodontal diagnosis and treatment information management system

技术领域technical field

本发明涉及口腔医学领域,尤其涉及一种牙周诊疗信息管理系统。The invention relates to the field of stomatology, in particular to a periodontal diagnosis and treatment information management system.

背景技术Background technique

牙周病口腔科重要疾病之一,是指发生在牙支持组织(牙周组织)的疾病,包括仅累及牙龈组织的牙龈病和波及深层牙周组织(牙周膜、牙槽骨、牙骨质)的牙周炎两大类。牙周疾病是常见的口腔疾病,是引起成年人牙齿丧失的主要原因之一,也是危害人类牙齿和全身健康的主要口腔疾病。牙周病的早期症状不易引起重视,造成牙周组织长期慢性感染,炎症反复发作,不仅损害口腔咀嚼系统的功能,还会严重影响健康。Periodontal disease is one of the important diseases in stomatology, which refers to diseases that occur in the tooth supporting tissue (periodontal tissue), including gingival disease that only involves gingival tissue and deep periodontal tissue (periodontal ligament, alveolar bone, tooth bone, etc.) There are two types of periodontitis. Periodontal disease is a common oral disease, one of the main causes of adult tooth loss, and a major oral disease that endangers human teeth and general health. The early symptoms of periodontal disease are not easy to pay attention to, resulting in long-term chronic infection of periodontal tissue, and recurrent inflammation, which not only damages the function of the oral masticatory system, but also seriously affects health.

牙周探诊作为其重要的检查手段,主要是探查牙周袋深度、龈下结石的多少、有无牙齿松动等,然后以表格的形式记录下来,但目前的表格都以纸质表格为主,缺乏电子数据的储存形式。As an important inspection method, periodontal probing is mainly to detect the depth of periodontal pockets, the amount of subgingival calculus, and whether there is tooth looseness, etc., and then record them in the form of forms, but the current forms are mainly paper forms , lack of electronic data storage form.

由于牙周病治疗的时间周期较长,检查患者牙周情况也成为复查或初诊时必不可少的环节。长久以来,医生面对的问题也很多,而最棘手的问题就是数据比较和可视化,对于一个患者而言牙周病的发展趋势更多的是比较牙周组织的情况,而因为牙周检查数据多而繁杂,因此医院主流采用纸笔记录的问题,这导致的结果就是数据之间的比较加重了医生的工作量。Due to the long period of time for periodontal disease treatment, checking the periodontal condition of patients has also become an indispensable link in reexamination or initial diagnosis. For a long time, doctors have faced many problems, and the most difficult problem is data comparison and visualization. For a patient, the development trend of periodontal disease is more about comparing the periodontal tissue, and because the periodontal examination data Many and complicated, so the mainstream use of pen and paper records in hospitals, the result is that the comparison between data increases the workload of doctors.

此外,现有的纸笔记录的方式使得医护人员在多次复诊的过程中,难以对患者的病情进展产生直观的了解。为了解决纸笔记录困难的问题,部分厂商开发了电子化的牙周检查表单技术,但是由于呈现形式和专业科学性的不足,尚未有大规模投入使用的成熟可借鉴成果。In addition, the existing pen-and-paper recording method makes it difficult for medical staff to have an intuitive understanding of the progress of the patient's condition during multiple follow-up visits. In order to solve the problem of difficult paper and pen records, some manufacturers have developed electronic periodontal examination form technology, but due to the lack of presentation form and professional scientificity, there is no mature result that can be used for reference on a large scale.

发明内容Contents of the invention

针对上述现有技术中的不足,本发明提供牙周诊疗信息管理系统,该系统通过保存电子化的检查表单,并根据检查表单生成相应的可视化模型,从而解决了现有技术中表单数据难以直观比较的问题。Aiming at the deficiencies in the above-mentioned prior art, the present invention provides a periodontal diagnosis and treatment information management system. The system saves the electronic inspection form and generates a corresponding visual model according to the inspection form, thereby solving the problem that the form data in the prior art is difficult to visualize. A question of comparison.

本发明通过以下的技术方案实现:The present invention is realized through the following technical solutions:

一种牙周诊疗信息管理系统,其包括患者终端、医护终端以及服务器,其中:A periodontal diagnosis and treatment information management system, which includes a patient terminal, a medical care terminal and a server, wherein:

所述医护终端与所述服务器通信连接,被配置为与所述患者终端进行交互以获取患者的身份以及往次的检查信息,并将患者的本次检查信息上传至所述服务器;The medical terminal communicates with the server, and is configured to interact with the patient terminal to obtain the patient's identity and previous examination information, and upload the current examination information of the patient to the server;

所述患者终端与所述服务器通信连接,被配置为从所述服务器获取检查信息、预约信息、医嘱信息以及牙周知识中的一种或多种的组合;The patient terminal communicates with the server, and is configured to acquire one or more of examination information, appointment information, doctor's order information, and periodontal knowledge from the server;

所述检查信息包括:基础数据、特征数据以及可视化模型;生成所述可视化模型的过程中,根据基础数据、特征数据以及标准牙体形态模型计算得出可视化模型,或者根据基础数据以及特征数据对该患者的可视化模型的历史数据进行修改得出本次诊断的可视化模型。The inspection information includes: basic data, characteristic data, and a visualization model; during the process of generating the visualization model, the visualization model is calculated based on the basic data, characteristic data, and a standard tooth shape model, or the basic data and the characteristic data are paired. The historical data of the patient's visualization model is modified to obtain the visualization model of this diagnosis.

本发明的进一步改进在于,所述基础数据包括牙数、异常牙根数量及情况、牙合面异常数量牙、牙扭曲移位。A further improvement of the present invention is that the basic data includes the number of teeth, the number and condition of abnormal tooth roots, the number of abnormal teeth on the occlusal surface, and the distortion and displacement of teeth.

本发明的进一步改进在于,所述特征数据包括牙面颜色异常、隐裂、骨折、牙冠牙根牙颈异常情况、牙与颌骨的关系。A further improvement of the present invention is that the characteristic data include abnormal color of the tooth surface, cracks, fractures, abnormal conditions of the crown, root and neck, and the relationship between the tooth and the jaw.

本发明的进一步改进在于,根据基础数据、特征数据以及标准牙体形态模型计算得出可视化模型的过程包括以下步骤:A further improvement of the present invention is that the process of calculating the visualization model according to the basic data, feature data and standard tooth shape model includes the following steps:

从检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息;Obtain the key information of the patient's tooth shape model from the detected basic data and characteristic data;

根据所获得的关键信息对标准牙体形态模型进行相应的调整,标准牙体形态模型为点云模型;According to the obtained key information, adjust the standard tooth shape model accordingly, and the standard tooth shape model is a point cloud model;

标准牙体形态模型调整之后则利用Loop细分算法对模型进行细分曲面处理;After the standard tooth shape model is adjusted, the Loop subdivision algorithm is used to subdivide the surface of the model;

利用贪婪三角化算法对牙体形态模型进行三维重建,由点云模型转化成三维模型,将三维模型传递给医护终端;Use the greedy triangulation algorithm to reconstruct the tooth shape model in 3D, convert the point cloud model into a 3D model, and transfer the 3D model to the medical terminal;

医护终端根据牙体形态的关键信息对牙体位置进行调整,并将牙龈和牙齿模型贴图并展示,从而得到本次检查的可视化模型。The medical terminal adjusts the position of the tooth according to the key information of the shape of the tooth, and maps and displays the gum and tooth models to obtain a visual model of the inspection.

本发明的进一步改进在于,根据基础数据以及特征数据对该患者的可视化模型的历史数据进行修改得出本次诊断的可视化模型的过程包括以下步骤:A further improvement of the present invention is that the process of modifying the historical data of the patient's visualization model according to the basic data and characteristic data to obtain the visualization model of this diagnosis includes the following steps:

从本次检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息;Obtain the key information of the patient's tooth shape model from the basic data and characteristic data of this test;

根据本次测试的基础数据,将数据点通过映射的方式返回上一次检查的历史数据;According to the basic data of this test, the data points are returned to the historical data of the last inspection by means of mapping;

计算可视化模型的历史数据的各关键信息与本次检测的关键信息之间的变化量;Calculate the amount of change between each key information of the historical data of the visualization model and the key information of this detection;

根据各关键信息的变化量,对可视化模型的历史数据进行仿射变换,得到本次检测的可视化模型。According to the change amount of each key information, the affine transformation is performed on the historical data of the visualization model to obtain the visualization model of this detection.

本发明的进一步改进在于,所述患者终端为手机,所述医护终端具有二维码扫描设备;所述医护终端通过扫描所述患者终端展示的二维码获取患者的身份。A further improvement of the present invention is that the patient terminal is a mobile phone, and the medical care terminal has a two-dimensional code scanning device; the medical care terminal acquires the identity of the patient by scanning the two-dimensional code displayed by the patient terminal.

本发明的进一步改进在于,所述服务器根据患者的检查信息生成健康建议以及相应的牙周知识文章,并向对应的患者终端推送或者供对应的患者终端获取。A further improvement of the present invention is that the server generates health advice and corresponding periodontal knowledge articles according to the examination information of the patient, and pushes them to the corresponding patient terminal or provides them for acquisition by the corresponding patient terminal.

本发明的有益技术效果为:The beneficial technical effect of the present invention is:

(1)生成可视化模型使得医护人员可以直观地观察患者的历次检查结果,便于医护人员比较历次检查结果之间的变化趋势,从而更好的了解患者的病情进展;(1) The visualization model is generated so that the medical staff can visually observe the previous examination results of the patient, and it is convenient for the medical staff to compare the change trends between the previous examination results, so as to better understand the progress of the patient's condition;

(2)将牙周情况的数据记录电子化,利用现在的互联网技术,将以前的纸质表格用可视化的方式记录在网上,一方面便于医生进行多次的牙周数据比较,另一方面也有利于患者自身了解自己的牙周情况,当然如果患者要转诊或者要去其他地方就诊,也方便医生了解患者过去的情况。(2) Electronically record the data of periodontal conditions, and use the current Internet technology to record the previous paper forms on the Internet in a visual way. On the one hand, it is convenient for doctors to compare periodontal data many times. It is beneficial for patients to understand their own periodontal conditions. Of course, if the patient wants to refer or go to other places for medical treatment, it is also convenient for the doctor to understand the patient's past conditions.

附图说明Description of drawings

图1为牙周诊疗信息管理系统中可视化模型生成过程中的流程图;Fig. 1 is the flowchart in the visualization model generation process in periodontal diagnosis and treatment information management system;

图2为牙周诊疗信息管理系统在患者就诊过程中的流程图;Fig. 2 is a flow chart of the periodontal diagnosis and treatment information management system in the process of patient consultation;

图3为牙周诊疗信息管理系统在患者日常使用程中的流程图。Fig. 3 is a flow chart of the periodontal diagnosis and treatment information management system in the daily use process of patients.

具体实施方式Detailed ways

下面根据附图,给出本发明的较佳实施例,并予以详细描述,使能更好地理解本发明的功能、特点。Below, according to the accompanying drawings, preferred embodiments of the present invention are given and described in detail, so that the functions and features of the present invention can be better understood.

本发明的实施例包括一种牙周诊疗信息管理系统,其包括患者终端、医护终端以及服务器。An embodiment of the present invention includes a periodontal diagnosis and treatment information management system, which includes a patient terminal, a medical care terminal and a server.

具体的,患者终端为手机,患者终端通过手机内的app或小程序与服务器进行交互。医护终端可以采用通用计算机,或者移动设备。服务器使用了ASP.NET框架,节省了开发时间。患者终端和医护终端的前端界面主要使用Vue框架,对用户(患者和医生,以及试验数据整理)有良好的界面展示效果。服务器可采用各种云服务器进行实现。患者终端以及医护终端均与服务器通过网络进行通信连接。Specifically, the patient terminal is a mobile phone, and the patient terminal interacts with the server through an app or a small program in the mobile phone. Medical terminals can use general-purpose computers or mobile devices. The server uses the ASP.NET framework, which saves development time. The front-end interfaces of patient terminals and medical care terminals mainly use the Vue framework, which has a good interface display effect for users (patients and doctors, as well as test data collation). The server can be realized by using various cloud servers. Both the patient terminal and the medical care terminal communicate with the server through the network.

如图2所示,在患者就诊过程中,医生通过医护终端与患者终端进行交互以获取患者的身份。在一个具体实施例中,医护终端具有二维码扫描设备;医护终端通过扫描患者终端展示的二维码获取患者的身份。上述过程中,医患之间不存在接触,可以降低医院感染的风险。扫码之后,医护终端通过多种方式核实患者的身份,例如对患者终端的二维码进行加密并添加时效,或者要求患者提供注册时填写的手机号。As shown in Figure 2, during the patient visit, the doctor interacts with the patient terminal through the medical terminal to obtain the patient's identity. In a specific embodiment, the medical terminal has a two-dimensional code scanning device; the medical terminal obtains the identity of the patient by scanning the two-dimensional code displayed by the patient terminal. In the above process, there is no contact between doctors and patients, which can reduce the risk of nosocomial infection. After scanning the code, the medical terminal verifies the identity of the patient in various ways, such as encrypting the QR code of the patient terminal and adding a time limit, or asking the patient to provide the mobile phone number filled in during registration.

患者的身份验证通过后,医生进入诊疗过程中。此时患者终端提示患者检查过程正在持续。在诊疗过程中,医生可以通过医护终端获取患者的身份以及往次的检查信息。检查过程中,医生填写检查信息,并生成表单。填写完成后,医生通过医护终端向服务器提交表单,随后患者终端提示患者检查过程完成,并展示检查信息。After the patient's identity verification is passed, the doctor enters the diagnosis and treatment process. At this time, the patient terminal prompts the patient that the examination process is continuing. During the diagnosis and treatment process, doctors can obtain the patient's identity and previous examination information through the medical terminal. During the examination process, the doctor fills in the examination information and generates a form. After completing the filling, the doctor submits the form to the server through the medical terminal, and then the patient terminal prompts the patient that the examination process is completed and displays the examination information.

在上述过程中,检查信息包括:基础数据、特征数据以及可视化模型。In the above process, the inspection information includes: basic data, characteristic data and visual model.

基础数据包括牙数(包括是否有种植体等)、异常牙根(根分叉、分歧、弯曲等)数量及情况、牙合面异常数量牙、牙扭曲移位。The basic data include the number of teeth (including whether there are implants, etc.), the number and condition of abnormal tooth roots (root bifurcation, bifurcation, bending, etc.), the number of abnormal teeth on the occlusal surface, and tooth distortion and displacement.

特征数据包括牙面颜色异常(氟斑牙、四环素牙)、隐裂、骨折、牙冠牙根牙颈异常情况、牙与颌骨的关系。Characteristic data include tooth surface color abnormalities (fluorosis teeth, tetracycline teeth), cracks, fractures, crown root neck abnormalities, and the relationship between teeth and jaws.

基础数据是一般检查即可检查获得的数据,在得到相关数据以后可以通过数据对比来模拟出牙体形态、牙弓形态、牙合关系,这些特征数据可以使得模拟出的可视化模型更加贴合真实。The basic data is the data obtained by general inspection. After obtaining the relevant data, the tooth shape, dental arch shape, and occlusal relationship can be simulated through data comparison. These characteristic data can make the simulated visual model more realistic. .

可视化模型可以采用多种方式进行生成。Visualization models can be generated in a number of ways.

一种可视化模型的生成方式为采用口内扫描仪进行扫描得出。例如CEREC设备,该设备包括成像采集的取像单元、生物再造软件、研磨单元。这种方式可得到高精度的可视化模型,针对性极强,适用于修复学科。所以电子可视化病历目前操作比较简单,而且主要是在医患沟通中对于阻生齿、牙髓治疗时可以让患者更加直观的理解。但是这种方式需要昂贵的设备以及使用成本,不是所有的医院或诊所都可以配置高精度的扫描仪,和相关流程。因此,该过程适用于初诊。A visualization model is generated by scanning with an intraoral scanner. For example, the CEREC equipment includes an imaging unit for imaging acquisition, biological reconstruction software, and a grinding unit. This method can obtain a high-precision visualization model, which is highly targeted and suitable for restoration disciplines. Therefore, the operation of electronic visual medical records is relatively simple at present, and it is mainly used in doctor-patient communication to allow patients to have a more intuitive understanding of impacted teeth and endodontic treatment. However, this method requires expensive equipment and usage costs, and not all hospitals or clinics can be equipped with high-precision scanners and related processes. Therefore, this procedure is suitable for initial diagnosis.

如图1所示,另一种可视化模型的生成方式根据基础数据、特征数据以及标准牙体形态模型计算得出可视化模型,从检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息,例如:牙体长轴线、冠根分界线及冠根长、颈缘;针对不同牙位采集的不同关键信息:切牙(切角、切缘、舌面窝等)、尖牙(牙尖、舌面窝)、前磨牙(颊尖、舌尖、三角嵴、边缘嵴、近和远中向沟)、磨牙(近中和远中颊尖、近中和远中舌尖、近中颊沟、中央沟、三角嵴、边缘嵴)。根据所获得的关键信息对标准牙体形态模型进行相应的调整,此处仅调整牙体的形态特征。本实施例中,采用的标准牙体形态模型为中国人标准牙体形态模型。标准牙体形态模型为ply格式的点云模型,且点云数据较为稀疏,便于进行调整。标准牙体模型调整之后则利用Loop细分算法对模型进行细分曲面处理,使得模型更加的真实。利用贪婪三角化算法对模型进行三维重建,由点云模型转化成三维模型,将模型传递给医护终端。医护终端根据牙体形态的关键信息对牙体位置进行调整,并将牙龈和牙齿模型贴图并展示,最终呈现一个可视化模型。后台服务器中对模型的处理主要用到PCL库,前端展示部分则主要使用three.js。As shown in Figure 1, another way to generate a visual model is to calculate a visual model based on basic data, feature data, and standard tooth shape models, and obtain the key to the patient's tooth shape model from the detected basic data and feature data. Information, such as: tooth long axis, crown-root boundary line, crown-root length, and cervical margin; different key information collected for different tooth positions: incisors (incisal angle, incisal margin, lingual fossa, etc.), cusp, lingual fossa), premolars (buccal tip, lingual tip, triangular ridge, marginal ridge, mesial and distal groove), molars (mesial and distal buccal cusp, mesial and distal lingual tip, mesial buccal groove , central groove, triangular crest, marginal crest). According to the obtained key information, the standard tooth shape model is adjusted accordingly, here only the morphological characteristics of the tooth are adjusted. In this embodiment, the standard tooth shape model used is the Chinese standard tooth shape model. The standard tooth shape model is a point cloud model in ply format, and the point cloud data is relatively sparse, which is easy to adjust. After the standard tooth model is adjusted, the Loop subdivision algorithm is used to subdivide the surface of the model to make the model more realistic. Use the greedy triangulation algorithm to reconstruct the model in 3D, convert the point cloud model into a 3D model, and pass the model to the medical terminal. The medical terminal adjusts the position of the tooth according to the key information of the tooth shape, maps and displays the gum and tooth models, and finally presents a visual model. The processing of the model in the background server mainly uses the PCL library, and the front-end display part mainly uses three.js.

此外,还可根据基础数据以及特征数据对该患者的可视化模型的历史数据进行修改得出本次诊断的可视化模型,通过该过程,可以复用之前就诊过程中的可视化模型,在生成本次可视化模型的过程中,可以直观地观察到模型的变化以及患者的病情进展。该过程包括以下步骤:In addition, the historical data of the patient's visualization model can also be modified according to the basic data and characteristic data to obtain the visualization model of this diagnosis. Through this process, the visualization model in the previous treatment process can be reused to generate this visualization. During the process of the model, the changes of the model and the progress of the patient's condition can be observed intuitively. The process includes the following steps:

(1)从本次检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息;目前所指的关键信息包括①牙列(牙合)特征点:牙列为尖圆形、方圆形、椭圆形,其中是否出现错位牙、额外牙;②牙位特征点:个别牙齿是否为过大牙、过小牙、阻生牙、伸长牙、牙内陷、牙位是否有异常(包括近中、远中、唇颊、垂直阻生)等;③形态特征点:单独各轴面的形态高点、各牙牙合面(切缘)的特征点:包括切牙的切嵴、舌侧窝;双尖牙颊尖和舌尖及其形成的颊舌两个三角嵴、近中沟远中沟。磨牙的近中、远中颊尖,近中、远中舌尖,4个边缘嵴及4个点角、近中颊合角及远中颊合角、斜嵴将中央窝分为稍大的近中窝和较小的远中窝。④牙体病理特征点:龋病进展、色素沉着(内源性、外源性)、牙折裂等。需要临床检测的关键信息主要包括上述的①牙列(牙合)特征点、②牙位特征点以及④牙体病理特征点。(1) Obtain the key information of the patient's tooth shape model from the basic data and feature data of this test; the key information currently referred to includes ① Dentition (occlusal) feature points: the dentition is pointed, round, square Circular, oval, whether there are misplaced teeth and extra teeth; ②Characteristic points of tooth position: whether individual teeth are oversized teeth, undersized teeth, impacted teeth, elongated teeth, tooth inset, whether there is any abnormality in the tooth position ( Including mesial, distal, lip buccal, vertical impacted), etc.; ③ Morphological feature points: the morphological high point of each axial plane alone, and the feature points of each occlusal surface (incisal margin): including the incisor crest of the incisor, the tongue Lateral fossa; bicuspid buccal and lingual tips and the two triangular ridges formed by the buccal and lingual, mesial and distal grooves. The mesial and distal buccal cusps of the molars, the mesial and distal lingual cusps, 4 marginal ridges and 4 point angles, the mesio-buccal and distal buccal angles, and oblique ridges divide the central fossa into a slightly larger proximal middle fossa and smaller distal fossa. ④Characteristic points of tooth pathology: caries progression, pigmentation (endogenous and exogenous), tooth fracture, etc. The key information that requires clinical detection mainly includes the above-mentioned ① dentition (occlusal) feature points, ② tooth position feature points, and ④ dental pathological feature points.

(2)根据本次测试的基础数据,将数据点通过映射的方式返回上一次检查的历史数据;本步骤指的是,根据本次检查过程中涉及的数据涉及的关键信息,从服务器获取相应的历史数据,或者服务器主动将相应的历史数据发送至客户端;在某些情况下,如果本次检查涉及的数据较少,这样可以避免从服务器中获取全部的历史数据,节约了网络带宽;在生成可视化模型的过程中,仅对少数的关键信息进行处理,可有效降低计算量;(2) According to the basic data of this test, the data points are returned to the historical data of the previous inspection by means of mapping; this step refers to obtaining the corresponding key information from the server according to the key information involved in the data involved in this inspection historical data, or the server actively sends the corresponding historical data to the client; in some cases, if the data involved in this inspection is less, this can avoid obtaining all historical data from the server and save network bandwidth; In the process of generating the visualization model, only a few key information are processed, which can effectively reduce the amount of calculation;

(3)计算可视化模型的历史数据的各关键信息与本次检测的关键信息之间的变化量;(3) Calculate the amount of change between each key information of the historical data of the visualization model and the key information of this detection;

(4)根据各关键信息的变化量,对可视化模型的历史数据进行仿射变换,得到本次检测的可视化模型。(4) According to the change amount of each key information, affine transformation is performed on the historical data of the visualization model to obtain the visualization model of this detection.

生成可视化模型是本发明实施例的核心功能之一。该功能使得医护人员可以直观地观察患者的历次检查结果,便于医护人员比较历次检查结果之间的变化趋势,从而更好的了解患者的病情进展。Generating a visualization model is one of the core functions of this embodiment of the present invention. This function enables the medical staff to visually observe the previous examination results of the patient, and facilitates the medical staff to compare the change trends among the previous examination results, so as to better understand the progress of the patient's condition.

如图3所示,在检查之外的日常生活中,患者可利用客户终端上的小程序从服务器获取检查信息、预约信息、医嘱信息以及牙周知识。服务器可根据患者的检查信息生成健康建议以及相应的牙周知识文章,并向对应的患者终端推送或者供对应的患者终端获取。As shown in Figure 3, in daily life other than examinations, patients can use the small program on the client terminal to obtain examination information, appointment information, doctor's order information and periodontal knowledge from the server. The server can generate health advice and corresponding periodontal knowledge articles according to the patient's examination information, and push them to the corresponding patient terminal or provide them for acquisition by the corresponding patient terminal.

在小程序中,可以在顶部设置轮播图,以展示服务器推送的牙周知识。医生的医嘱也可在此进行展示。小程序的界面中还可设置往次结果查询按钮,以便患者查询检测结果。本可系统可以将牙周情况的数据记录电子化,利用现在的互联网技术,将以前的纸质表格用可视化的方式记录在网上,一方面便于医生进行多次的牙周数据比较,另一方面也有利于患者自身了解自己的牙周情况,当然如果患者要转诊或者要去其他地方就诊,也方便医生了解患者过去的情况。In the applet, you can set a carousel at the top to display the periodontal knowledge pushed by the server. Doctor's orders can also be displayed here. The next result query button can also be set in the interface of the applet, so that patients can query the test results. This system can electronically record the data of periodontal conditions, and use the current Internet technology to record the previous paper forms on the Internet in a visual way. On the one hand, it is convenient for doctors to compare periodontal data multiple times. On the other hand, It is also beneficial for patients to understand their own periodontal conditions. Of course, if patients want to be referred or go to other places for medical treatment, it is also convenient for doctors to understand the past conditions of patients.

此外,健康建议以及相应的牙周知识文章可通过微信公众号的方式进行推送,这个一方面会推送一些日常的牙周方面和口腔科普的小常识,另一方面也会对一些大家提出的牙周病相关的问题咨询相关领域的专家最后推送出来让大家都知道,当然公众号上也会推送一些牙周方面的最新知识和前沿内容,方便广大患者了解牙周病的相关情况。In addition, health advice and corresponding periodontal knowledge articles can be pushed through the WeChat public account. On the one hand, this will push some daily periodontal aspects and common sense of oral science, and on the other hand, it will also provide information on some dental issues raised by everyone. Periodontal disease-related issues are consulted by experts in related fields and finally released to let everyone know. Of course, some latest knowledge and cutting-edge content on periodontal disease will also be pushed on the official account to facilitate the majority of patients to understand the relevant situation of periodontal disease.

最后一个部分就是一个牙周的就诊提醒,我们会提供接入医院的后台,直接把预约信息推送给患者,或者是由患者自己手动输入预约情况,而每次就诊完我们也会把这次的牙周情况主动用平白的语言介绍给患者或者是提供必要针对患者自身的口腔建议。The last part is a periodontal visit reminder. We will provide access to the backstage of the hospital and directly push the appointment information to the patient, or the patient can manually enter the appointment information. After each visit, we will also send this time The periodontal situation is actively introduced to the patient in plain language or the necessary oral advice is provided for the patient himself.

以上结合附图实施例对本发明进行了详细说明,本领域中普通技术人员可根据上述说明对本发明做出种种变化例。因而,实施例中的某些细节不应构成对本发明的限定,本发明将以所附权利要求书界定的范围作为本发明的保护范围。The present invention has been described in detail above with reference to the embodiments of the accompanying drawings, and those skilled in the art can make various changes to the present invention according to the above description. Therefore, some details in the embodiments should not be construed as limiting the present invention, and the present invention will take the scope defined by the appended claims as the protection scope of the present invention.

Claims (5)

1.一种牙周诊疗信息管理系统,其特征在于,包括患者终端、医护终端以及服务器,其中:1. A periodontal diagnosis and treatment information management system, characterized in that it includes a patient terminal, a medical care terminal and a server, wherein: 所述医护终端与所述服务器通信连接,被配置为与所述患者终端进行交互以获取患者的身份以及往次的检查信息,并将患者的本次检查信息上传至所述服务器;The medical terminal communicates with the server, and is configured to interact with the patient terminal to obtain the patient's identity and previous examination information, and upload the current examination information of the patient to the server; 所述患者终端与所述服务器通信连接,被配置为从所述服务器获取检查信息、预约信息、医嘱信息以及牙周知识中的一种或多种的组合;The patient terminal communicates with the server, and is configured to acquire one or more of examination information, appointment information, doctor's order information, and periodontal knowledge from the server; 所述检查信息包括:基础数据、特征数据以及可视化模型;生成所述可视化模型的过程中,根据基础数据、特征数据以及标准牙体形态模型计算得出可视化模型,或者根据基础数据以及特征数据对该患者的可视化模型的历史数据进行修改得出本次诊断的可视化模型;其中:The inspection information includes: basic data, characteristic data, and a visualization model; during the process of generating the visualization model, the visualization model is calculated based on the basic data, characteristic data, and a standard tooth shape model, or the basic data and the characteristic data are paired. The historical data of the patient's visualization model is modified to obtain the visualization model of this diagnosis; where: 根据基础数据、特征数据以及标准牙体形态模型计算得出可视化模型的过程包括以下步骤:The process of calculating the visualization model based on the basic data, feature data and standard tooth shape model includes the following steps: 从检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息;Obtain the key information of the patient's tooth shape model from the detected basic data and characteristic data; 根据所获得的关键信息对标准牙体形态模型进行相应的调整,标准牙体形态模型为点云模型;According to the obtained key information, adjust the standard tooth shape model accordingly, and the standard tooth shape model is a point cloud model; 标准牙体形态模型调整之后则利用Loop细分算法对模型进行细分曲面处理;After the standard tooth shape model is adjusted, the Loop subdivision algorithm is used to subdivide the surface of the model; 利用贪婪三角化算法对牙体形态模型进行三维重建,由点云模型转化成三维模型,将三维模型传递给医护终端;Use the greedy triangulation algorithm to reconstruct the tooth shape model in 3D, convert the point cloud model into a 3D model, and transfer the 3D model to the medical terminal; 医护终端根据牙体形态的关键信息对牙体位置进行调整,并将牙龈和牙齿模型贴图并展示,从而得到本次检查的可视化模型;The medical terminal adjusts the position of the tooth according to the key information of the shape of the tooth, and maps and displays the gum and tooth models to obtain a visual model of the inspection; 根据基础数据以及特征数据对该患者的可视化模型的历史数据进行修改得出本次诊断的可视化模型的过程包括以下步骤:The process of modifying the historical data of the patient's visualization model according to the basic data and characteristic data to obtain the visualization model of this diagnosis includes the following steps: 从本次检测的基础数据、特征数据中获得患者的牙体形态模型的关键信息;Obtain the key information of the patient's tooth shape model from the basic data and characteristic data of this test; 根据本次测试的基础数据,将数据点通过映射的方式返回上一次检查的历史数据;According to the basic data of this test, the data points are returned to the historical data of the last inspection by means of mapping; 计算可视化模型的历史数据的各关键信息与本次检测的关键信息之间的变化量;Calculate the amount of change between each key information of the historical data of the visualization model and the key information of this detection; 根据各关键信息的变化量,对可视化模型的历史数据进行仿射变换,得到本次检测的可视化模型。According to the change amount of each key information, the affine transformation is performed on the historical data of the visualization model to obtain the visualization model of this detection. 2.根据权利要求1所述的一种牙周诊疗信息管理系统,其特征在于,所述基础数据包括牙数、异常牙根数量及情况、牙合面异常数量牙、牙扭曲移位。2. A periodontal diagnosis and treatment information management system according to claim 1, wherein the basic data includes the number of teeth, the number and condition of abnormal tooth roots, the number of abnormal teeth on the occlusal surface, and tooth distortion and displacement. 3.根据权利要求1所述的一种牙周诊疗信息管理系统,其特征在于,所述特征数据包括牙面颜色异常、隐裂、骨折、牙冠牙根牙颈异常情况、牙与颌骨的关系。3. A periodontal diagnosis and treatment information management system according to claim 1, wherein the characteristic data include abnormal color of the tooth surface, hidden cracks, fractures, abnormalities of the crown, root and neck of the tooth, and the relationship between the tooth and the jaw. relation. 4.根据权利要求1所述的一种牙周诊疗信息管理系统,其特征在于,所述患者终端为手机,所述医护终端具有二维码扫描设备;所述医护终端通过扫描所述患者终端展示的二维码获取患者的身份。4. A kind of periodontal diagnosis and treatment information management system according to claim 1, characterized in that, the patient terminal is a mobile phone, and the medical care terminal has a two-dimensional code scanning device; the medical care terminal scans the patient terminal The displayed QR code captures the patient's identity. 5.根据权利要求1所述的一种牙周诊疗信息管理系统,其特征在于,所述服务器根据患者的检查信息生成健康建议以及相应的牙周知识文章,并向对应的患者终端推送或者供对应的患者终端获取。5. A periodontal diagnosis and treatment information management system according to claim 1, characterized in that the server generates health advice and corresponding periodontal knowledge articles according to the patient's examination information, and pushes or provides information to the corresponding patient terminal. The corresponding patient terminal is obtained.
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